Recognizes opportunities for documentation improvement using strong critical-thinking skills and formulates clinically credible clarifications for inpatients. Transcribes documentation clarifications as appropriate to ensure documentation compliance. Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing staff. Communicates effectively with physicians and other healthcare providers to ensure appropriate, accurate, and complete clinical documentation. Collaborates with health information management staff to resolve discrepancies with diagnostic assignments and other coding issues. Completes well-timed follow-up case reviews on all cases, prioritizing those with clinical documentation clarifications. Participates in department meetings, providing feedback on outstanding issues and presenting educational opportunities. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency. Assists in new hire orientation through precepting and mentoring. Maintains regional productivity standards and demonstrates competence on compliance audit scores. Maintains a 97% physician response rate to all valid clarifications. Annual participation in Advanced Practice call. Maintains CCDS credentialing. Other duties as assigned. Reviews concurrent medical records for documentation compliance, including completeness, accuracy and quality. Inputs data accurately and concisely into assigned software, resulting in accurate metrics obtained through the reconciliation process. Knowledge, Skills, and Abilities: 022 Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrates excellent physician relations. 022 Able to organize and present information clearly and concisely. 022 Excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills. 022 Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist. 022 Dependable, self-motivated, and pleasant. 022 Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills. 022 Knowledge of pathophysiology, disease processes and treatments. 022 Strong ability to organize/triage work and manage multiple priorities at once. [Required] 022 Knowledge of clinical documentation requirements that identify clinical conditions or procedures. 022 Coding background. 022 Knowledge of quality guidelines. [Preferred] Education: 022 Bachelors of Nursing [Required] 022 Masters [Preferred] Field of Study: 022 in healthcare related field Work Experience: 022 5+ years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience. [Required] 022 3+ years of Clinical Documentation Specialist experience [Required] Additional Information: 022 An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree requirement:- BSN and 3+ years of Clinical Documentation Specialist experience OR - 4+ years of Clinical Documentation Specialist experience OR -Less than 2 years of Clinical Documentation Integrity experience and 10 years of acute care nursing experience. Licenses and Certifications: 022 Registered Nurse (RN) [Required] OR 022 Adult Acute Care Nurse Practitioner (ACNPC) [Required] OR 022 Physician Assistant (PA) [Required] OR 022 Certified Clinical Documentation Specialist (CCDS) [Required] OR 022 Certified Documentation Improvement Practitioner (CDIP) [Required] 022 Certified Coding Specialist (CCS) [Preferred] Physical Requirements: (Please click the link below to view work requirements) Physical Requirements -https://tinyurl.com/23km2677 Pay Range: $66,170.74 - $123,073.07 Background Screening Requirement (Florida Law) Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law. Applicants may review general information about Floridas background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/